印度的高血压治疗能力通过增加劳动力,更多的任务共享和延长处方期:一项建模研究
Matti Marklund1,2,3, Rajeev Cherukupalli1, Priya Pathak1
1The Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
The Lancet regional health. Southeast Asia
|June 29, 2023
概括
任务共享和更长的处方时间可以显著增加印度的高血压治疗能力. 这种方法使目前的医疗保健工作人员能够管理70%的患者,避免了昂贵的劳动力扩张.
科学领域:
- 公共卫生 公共卫生
- 卫生系统研究 卫生系统研究
- 心血管疾病管理管理
背景情况:
- 全球高血压控制率仍然很低,医生短缺是一个主要障碍.
- 与非医生卫生工作者共享任务是扩大高血压管理的潜在解决方案,特别是在印度等低收入和中等收入国家.
研究的目的:
- 估计印度公共卫生系统内的高血压治疗能力和相关成本.
- 模拟劳动力扩张,任务共享和延长处方期对高血压护理的影响.
主要方法:
- 使用受约束优化模型来评估治疗能力和工资费用.
- 模拟评估了包括增加劳动力,更大的任务共享和更长的处方间隔 (例如,季度和月度) 在内的场景.
主要成果:
- 目前,印度只有8%的患有高血压的成年人通过医生领导的服务接受治疗.
- 劳动力扩张以治疗70%将需要160万额外的员工和每年2000亿印度币.
- 任务共享或为期3个月的处方可以使当前的工作人员能够治疗25%的患者;结合起来,他们可以治疗70%的患者.
结论:
- 结合任务共享和延长处方时间,可以显著提高印度公共卫生系统中高血压治疗能力.
- 这种综合方法可以实现70%的治疗覆盖率,而无需扩大现有的医疗保健工作人员,与仅仅扩大工作人员需要大量资源的情况不同.
关键词:
社区卫生工作者社区卫生工作者有限制的优化受限优化医疗保健改革 医疗保健改革在高血压的高血压.印度 印度 印度主要医疗保健是一级医疗保健.公共卫生保健是公共卫生保健.模拟模拟是为了模拟.任务共享 任务共享治疗覆盖范围包括治疗.更多相关视频
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